Introduction of misoprostol for prevention of postpartum hemorrhage at the community level in Senegal
Objective: To demonstrate that training ensures correct administration of oral misoprostol by auxiliary midwives for prevention of postpartum hemorrhage (PPH) among women giving birth at the community level in Senegal. Methods: A 6-day training program for auxiliary midwives and supervisors, including 1 day of PPH prevention training and a practicum of 10 deliveries at health […]
Using routine information system data to assess maternal and perinatal care services in Mali and Senegal (QUARITE trial)
Background: In sub-Saharan Africa, problems of access to relevant and high-quality facility-based statistics hinder the assessment of safe motherhood programs. The objective of this study was to assess the quality of data collected in referral hospitals in Mali and Senegal after the routine information system (RIS) was strengthened. Methods: This was a multicenter observational study […]
Factors associated with postpartum hemorrhage maternal death in referral hospitals in Senegal and Mali: A cross-sectional epidemiological survey
Background: Postpartum hemorrhage (PPH) is the leading cause of maternal mortality in Sub-Saharan-Africa (SSA). Although clinical guidelines treating PPH are available, their implementation remains a great challenge in resource poor settings. A better understanding of the factors associated with PPH maternal mortality is critical for preventing risk of hospital-based maternal death. The purpose of this […]
What are the barriers to antenatal care utilization in Rufisque District, Senegal?: A bottleneck analysis
Background: This study aimed to analyze the barriers affecting the utilization of antenatal care (ANC) among Senegalese mothers. Methods: Health facility staffs were surveyed to examine the availability coverage of ANC (infrastructural capacity of health posts to handle maternal and newborn healthcare). A total of 113 women of childbearing age were surveyed to identify factors […]
Design and implementation of a health systems strengthening approach to improve health and nutrition of pregnant women and newborns in Ethiopia, Kenya, Niger, and Senegal
Maternal and neonatal mortality are unacceptably high in developing countries. Essential nutrition interventions contribute to reducing this mortality burden, although nutrition is poorly integrated into health systems. Universal health coverage is an essential prerequisite to decreasing mortality indices. However, provision and utilization of nutrition and health services for pregnant women and their newborns are poor […]
Exclusive breastfeeding rates and associated factors in 13 “economic community of West African states” (ECOWAS) countries
Exclusive breastfeeding (EBF) has important protective effects on child survival and also increases the growth and development of infants. This paper examined EBF rates and associated factors in 13 “Economic Community of West African States” (ECOWAS) countries. A weighted sample of 19,735 infants from the recent Demographic and Health Survey dataset in ECOWAS countries for […]
Strengthening equitable health systems in West Africa: The regional project on governance research for equity in health systems
The West African Health Organization (WAHO) supported an innovative regional initiative that contributes to building effective decision making, community and researcher partnerships to strengthen equitable health systems and influence local programmes and policies. Four projects were funded in Nigeria, Sierra Leone, Burkina Faso and Senegal, supported by a Regional Advisory Committee of experts and local […]
Barriers to uptake of antenatal maternal screening tests in Senegal
Background Evidence exists that selective antenatal maternal screening tests contribute to the reduction of maternal morbidity and mortality. However, data are lacking on coverage with the complete set of recommended tests. The study aimed to identify barriers to uptake of the complete set of tests recommended by the Ministry of Health in Senegal. Methods Data […]
Becoming a mother in Senegal: The experience of motherhood in a setting of social injustice and health service failures
We explain here the processes through which social injustice is created, the indicators that define social status, and the mechanism that express them in the field of health. Because we do not believe that they come out of any natural process, we seek to discover the extent to which they are socially produced. The data […]
Early detection of maternal deaths in Senegal through household-based death notification integrating verbal and social autopsy: A community-level case study
Background: Reliable detection of maternal deaths is an essential prerequisite for successful diagnosis of barriers to care and formulation of relevant targeted interventions. In a community-level case study, the use of household-level surveillance in Senegal unveiled an apparent increase in maternal deaths, which triggered a rapid-cycle collaborative response to implement a multipronged set of quick-win […]
